51158 (8)7.7 T/ 1 LOTNO.
NO. STREET
o'',�Pi AN FOR BUILDING PERMIT
® !►�6i'° ���jt�TY OF CUPERTINO 6 �
CC m
SatarY No.
�/
Uan � N �V s 196J
—.196— Permit No.
(� 11c jen iFl RIdMa permit to
a "I r story, Type Jam– f -2 – Building
to be occupied only as a ;P&ZW1-L XAVd'd in accordance with
Plans, Specifications and Plot -Plan filed herewith. 0a PI Ck Fee
Estimated Value of Improvements, $ t a� Fee S / 0 4• S–O
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, location, and use of buildings within the City of
Cupertino wt be complied with.
Owner Address?J V eWl
Bye • AddressS150 �• CSA..
Phony 'T���p' O g� Approved
State License / 76 NG INSYF.CTOR